NPI | 1407324593 |
---|---|
Other Name | EMMALYN GRACE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN314264) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9394807) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2023-02-20 |